Organization Active NPI

Patrick J. Lenahen, M.D., PC

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1417077892
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD033940E Issued in PA
Legal business name
PATRICK J. LENAHEN, M.D., PC
Practice address
5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745
Phone
(215) 482-1141
Fax
(215) 482-9758
NPI assigned
Mar 30, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick J Lenahen, M.D.NPI 1679548986
Title
Owner
Phone
(215) 482-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD033940E PA Primary

Addresses

Primary practice location

5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745

Mailing address

5735 Ridge Ave
Suite 206
Philadelphia, PA 19128-1745
Phone (215) 482-1141

Other identifiers 2

IdentifierTypeStateIssuer
MD033940EOtherPAMEDICAL LICENSE
00012475210001MedicaidPA

National Provider Directory

National Provider Directory

Locations

5735 Ridge Ave
Ste 206
Philadelphia, PA 19128
Phone (215) 482-1141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1417077892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE",
            "address_2": "SUITE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281745",
            "telephone_number": "215-482-1141",
            "fax_number": "215-482-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE",
            "address_2": "SUITE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281745",
            "telephone_number": "215-482-1141",
            "fax_number": "215-482-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. LENAHEN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "LENAHEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-482-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD033940E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD033940E",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012475210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.